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Tennessee rates for HCPCS 50574

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.73 / $692.99 / $751.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,549.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.61 / $706.85 / $1,274.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.79 / $798.06 / $1,235.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,388.90 / $9,388.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,059.68 / $4,150.80 / $4,619.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.38 / $770.83 / $1,276.33